Active NPI
Nathaniel J Leggett OD Inc
- Optometrist
- Canton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5221
- Legal business name
- NATHANIEL J LEGGETT OD INC
- Practice address
- 3017A Cleveland Ave SW
Canton, OH 44707-3625 - Phone
- (330) 484-2569
- Fax
- (330) 484-2263
- NPI assigned
- Jan 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nathaniel James Leggett, O.D.
- Title
- President
- Phone
- (330) 484-2569
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5221 | OH | Primary |
Addresses
Primary practice location
3017A Cleveland Ave SW
Canton, OH 44707-3625
Mailing address
3017A Cleveland Ave SW
Canton, OH 44707-3625
Phone (330) 484-2569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2714414 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
3017 Cleveland Ave S
#A
Canton, OH 44707
Phone (330) 484-2569
3017A Cleveland Ave S
Canton, OH 44707
Phone (330) 484-2569
3017 Cleveland Ave SW
Ste B
Canton, OH 44707
Phone (330) 484-2569
3017 Cleveland Ave S
#B
Canton, OH 44707
Phone (330) 484-2569
8934 Darrow Rd
Twinsburg, OH 44087
Phone (330) 425-9830
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Twinsburg, OH
- NPI 1356455158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211932800000",
"number": "1659558955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3017A CLEVELAND AVE SW",
"city": "CANTON",
"state": "OH",
"postal_code": "447073625",
"telephone_number": "330-484-2569",
"fax_number": "330-484-2263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3017A CLEVELAND AVE SW",
"city": "CANTON",
"state": "OH",
"postal_code": "447073625",
"telephone_number": "330-484-2569",
"fax_number": "330-484-2263"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATHANIEL J LEGGETT OD INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-29",
"last_updated": "2008-05-28",
"status": "A",
"authorized_official_last_name": "LEGGETT",
"authorized_official_first_name": "NATHANIEL",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "330-484-2569",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "OH",
"license": "5221",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2714414",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.